This is a legal form that was released by the New York State Workers' Compensation Board - a government authority operating within New York.
The document is provided in Chinese. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form C-62C?
A: Form C-62C is a claim for compensation in a death case in New York.
Q: Who can file Form C-62C?
A: The spouse, children, or dependents of the deceased employee can file Form C-62C.
Q: What is the purpose of Form C-62C?
A: The purpose of Form C-62C is to seek compensation for the death of an employee that occurred due to a work-related injury or illness.
Q: What information is needed to complete Form C-62C?
A: To complete Form C-62C, you will need information about the deceased employee and their work-related injury or illness, as well as details about the claimant.
Q: Is there a deadline for filing Form C-62C?
A: Yes, you must file Form C-62C within two years of the employee's death in order to be eligible for compensation.
Q: What happens after I submit Form C-62C?
A: After you submit Form C-62C, the Workers' Compensation Board will review your claim and determine if you are eligible for compensation.
Q: How long does it take to receive a decision on a Form C-62C claim?
A: The processing time for a Form C-62C claim can vary, but you can contact the Workers' Compensation Board for an estimate.
Q: Can I appeal if my Form C-62C claim is denied?
A: Yes, if your Form C-62C claim is denied, you have the right to appeal the decision.
Q: Who should I contact if I have questions about Form C-62C?
A: If you have questions about Form C-62C, you can contact the New York Workers' Compensation Board or a local Workers' Compensation office.
Form Details:
Download a printable version of Form C-62C by clicking the link below or browse more documents and templates provided by the New York State Workers' Compensation Board.